The stress of any event, let alone the added stress related to the holidays can trigger a migraine. In the case of a migraine the stress headache does not come about as the result of a psychological tension as many would have you believe, but rather a biological event caused by hormones secreted within the endocrine system as a coping mechanism. Therefore, a migraineur can't just think the headache away or take the "just relax and everything will be just fine" attitude.
Especially during this season, migraine triggers and conditions are compounded. In other words, something that may not have bothered your head at other times of the year suddenly becomes a major trigger for a severe migraine when other factors are also in play.
Food and drink generally are part of any celebration. Tempting foods are served without labels and no way of knowing their ingredients. Your favorite aunt who won't hear of you not at least trying her special dish loaded with the secret spice mixture containing MSG may be your worst enemy. Her disappointment may be well worth your avoiding a horrible migraine the next morning.
Red wine is a well know major trigger, but are you prepared to refuse it when your host offers you a glass of wine to join in on the celebration? Being ready to refuse anything that may cause you a headache with a prepared answer may save you hours and even days fighting a horrible migraine.
And watch out for those dishes that may have been bought at a store and "re-plated" as they may be loaded with MSG, nitrates, L-tyrosine, and other "do not touch" ingredients lying in wait to set off a migraine in you. If your first bite says "yummy, this tastes different or really good," and has a slight salty taste, put it down because more than likely that good taste is MSG. Remember, MSG is a flavor enhancer.
Party Triggers. The following is our partial list of key foods and drinks to avoid at parties:
- Almonds and nuts Lots of these around at parties, but don't eat them.
- Wines, especially red wine - instead you may want to try a drink made of cranberry juice, club soda and a clear alcohol.
- Cheeses - especially the cheese balls and aged cheese - the better the cheese the more powerful the trigger.
- Sausages, little wieners, and other such things floating around in a crock pot full of the special BBQ sauce that may be loaded with MSG and nitrates.
- Snack mixes - these are party and office favorites that may contain MSG to heighten the flavor.
- Chocolate - I hate to mention this hard to resist confection, but for some people it can be a real problem - again keep in mind that triggers are not the same for everyone - always avoid what you know will hurt you no matter how good it looks.
- Beer and other alcohol beverages - Beer is a fermented beverage and may be a problem for some. It is not the alcohol but the process that creates the trigger. Clear alcohol products may be a better choice.
- Your Triggers. Don't cheat just because it is a party. Triggers compound rapidly and the last thing you want is to have to leave the party because of another migraine headache.
Be safe and enjoy the holidays.
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What is also in the works is new ways to manage the induction of existing migraine medications into the body. One of these that is working its way through FDA approval is is from NuPathe. The Zelrix patch is a single-use patch that relies on a mild electrical current to "actively transport" the anti-migraine drug sumatriptan through the skin using a process called iontophoresis.
There are other devices made for the relief of headache pain, one of which is an apparatus which is designed to be worn on a patient's forehead to deliver controlled electrical impulses for 20-minute sessions. The developer of this device claims it gives pain relief to people suffering from migraines and cluster/tension headaches.
Another device is a hand-held machine called a noninvasive transcranial magnetic stimulator which claims to create an intense magnetic field that, when held next to the head, creates an electric current in the neurons of the brain that disrupts the migraine aura.
When consulting with a migraineur we try to find out more about his or her diet, what supplements are used including hormone replacement therapy, and other information about life style. We often hear about the use of products with claims to make a person feel better, look better, have more energy, live longer, increase vitality, and sexual enhancement. Alarmingly, many of these products, cleansers, foods, lotions, and supplements can be the trigger for a migraine.